Posted on December 16, 2014
This blog post was authored by: Susan J. Penner, RN, MN, MPA, DrPH, CNL
What is a medical loss ratio (MLR), and why should you care? The MLR represents the portion of a health insurance plan’s expenses that contribute to direct services for enrollees. These direct services include medical care and quality improvement efforts.
Another term for the MLR is the 80/20 rule. If 80...